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Original Article |

Impact of Surgical Care Improvement Project Inf-9 on Postoperative Urinary Tract Infections:  Do Exemptions Interfere With Quality Patient Care?

Rachel M. Owen, MD; Sebastian D. Perez, MSPH; William A. Bornstein, MD, PhD; John F. Sweeney, MD
Arch Surg. 2012;147(10):946-953. doi:10.1001/archsurg.2012.1485.
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Background  The Surgical Care Improvement Project (SCIP) Inf-9 guideline promotes removal of indwelling urinary catheters (IUCs) within 48 hours of surgery.

Objectives  To determine whether a correlation exists between SCIP Inf-9 compliance and postoperative urinary tract infection (UTI) rates and whether an association exists between UTI rates and SCIP Inf-9 exemption status.

Design  Retrospective case control study.

Setting  Southeastern academic medical center.

Patients  American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and SCIP Inf-9 compliance data were collected prospectively on randomly selected general and vascular surgery inpatients. Monthly UTI rates and SCIP Inf-9 compliance scores were tested for correlation. Complete NSQIP data for all the inpatients with postoperative UTIs were compared with a group of 100 random controls to determine whether an association exists between UTI rates and SCIP Inf-9 exemption status.

Main Outcome Measure  Postoperative UTI.

Results  In 2459 patients reviewed, SCIP Inf-9 compliance increased over time, but this was not correlated with improved monthly UTI rates. Sixty-one of the 69 UTIs (88.4%) were compliant with SCIP Inf-9; however, 49 (71.0%) of these were considered exempt from the guideline and, therefore, the IUC was not removed within 48 hours of surgery. Retrospective review of 100 random controls showed a similar compliance rate (84.0%, P = .43) but a lower rate of exemption (23.5%, P < .001). The odds of developing a postoperative UTI were 8 times higher in patients deemed exempt from SCIP Inf-9 (odds ratio [OR], 7.99; 95% CI, 3.85-16.61). After controlling for differences between the 2 groups, the adjusted ORs slightly increased (OR, 8.34; 95% CI, 3.70-18.76).

Conclusions  Most UTIs occurred in patients deemed exempt from SCIP Inf-9. Although compliance rates remain high, practices are not actually improving. Surgical Care Improvement Project Inf-9 guidelines should be modified with fewer exemptions to facilitate earlier removal of IUCs.

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Figures

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Figure 1. Monthly Surgical Care Improvement Project (SCIP) Inf-9 compliance (A) monthly rates of postoperative urinary tract infections (UTIs) (B), and correlation between SCIP Inf-9 compliance and UTI rates (C) at Emory University Hospital. The Pearson correlation coefficient between SCIP Inf-9 compliance and time is 0.605 (P = .004) between UTI rate and time is −0.2593 (P = .26), and between UTI rates and SCIP Inf-9 compliance is −12.4 (P = .59).

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Figure 2. Case-control review of postoperative urinary tract infections (UTIs). *Excluded from further analysis. The odds of developing a postoperative UTI is 7.99 times higher if a patient is deemed exempt from Surgical Care Improvement Project (SCIP) Inf-9 (95% CI, 3.85-16.61); after controlling for differences in age, sex, and procedure type in the 2 groups, the adjusted odds slightly increased (8.34; 95% CI, 3.70-18.76). SCIP Inf-9 compliance between cases and controls was similar (P = .43). EUH indicates Emory University Hospital; GU, genitourinary; IUC, indwelling urinary catheter; NSQIP, National Surgery Quality Improvement Program.

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Figure 3. Relationships among urinary tract infection (UTI) cases, Surgical Care Improvement Project (SCIP) Inf-9 exemption, and epidurals.

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Figure 4. Multivariable analysis of independent risk factors for postoperative urinary tract infection.

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Figure 5. Indwelling urinary catheter (IUC) (A) and urinary retention (B) protocols. The exclusion criteria for the urinary retention protocol were known urogenital trauma, renal transplant during the current hospitalization, and a urologic procedure during the current hospitalization. *If the patient is unable to void, default to the urinary retention protocol. OR indicates operating room; PACU, postoperative care unit; POD, postoperative day; UTI, urinary tract infection.

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